Heights University Hospital

All Charges

Charge

Type

Setting

Price

BIOARCH IMPLANT 9MM

Facility

$9,860.00

Hospital Charge Code	270656810
Hospital Revenue Code	278
Min. Negotiated Rate	$1,479.00
Max. Negotiated Rate	$4,930.00
Rate for Payer: Aetna Commercial	$2,958.00
Rate for Payer: Aetna Medicare Advantage	$2,958.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,972.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,514.30
Rate for Payer: Cigna Commercial	$4,930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,386.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.00

BIOARCH IMPLANT 9MM

Facility

$9,860.00

Hospital Charge Code	270656810
Hospital Revenue Code	278
Min. Negotiated Rate	$1,479.00
Max. Negotiated Rate	$2,386.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,972.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,386.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.00

BIO-BAG TYPE C****

Facility

$4.32

Hospital Charge Code	270600749
Hospital Revenue Code	272
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$2.16
Rate for Payer: Aetna Commercial	$1.30
Rate for Payer: Aetna Medicare Advantage	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.10
Rate for Payer: Cigna Commercial	$2.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.56
Rate for Payer: Oxford Commercial	$2.16
Rate for Payer: Qualcare PPO/HMO/WC	$0.65
Rate for Payer: UnitedHealthcare Commercial	$2.16

BIO-BAG TYPE C****

Facility

$4.32

Hospital Charge Code	270600749
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$0.65
Rate for Payer: Qualcare PPO/HMO/WC	$0.65

BIOCARTILAGE DELIVERY KIT

Facility

$1,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270687155
Hospital Revenue Code	278
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$367.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$245.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.45
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

BIOCARTILAGE DELIVERY KIT

Facility

$1,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270687155
Hospital Revenue Code	278
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$296.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.45
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

BIOCARTILAGE KIT SMALL JT

Facility

$1,225.00

Service Code	HCPCS A4649
Hospital Charge Code	270686399
Hospital Revenue Code	272
Min. Negotiated Rate	$159.25
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$367.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.25
Rate for Payer: Oxford Commercial	$612.50
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$612.50

BIOCARTILAGE KIT SMALL JT

Facility

$1,225.00

Service Code	HCPCS A4649
Hospital Charge Code	270686399
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

BIO-CARTRIDGE 1CC

Facility

$4,900.00

Hospital Charge Code	270659671
Hospital Revenue Code	272
Min. Negotiated Rate	$637.00
Max. Negotiated Rate	$2,450.00
Rate for Payer: Aetna Commercial	$1,470.00
Rate for Payer: Aetna Medicare Advantage	$1,470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,249.50
Rate for Payer: Cigna Commercial	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$637.00
Rate for Payer: Oxford Commercial	$2,450.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00
Rate for Payer: UnitedHealthcare Commercial	$2,450.00

BIO-CARTRIDGE 1CC

Facility

$4,900.00

Hospital Charge Code	270659671
Hospital Revenue Code	272
Min. Negotiated Rate	$735.00
Max. Negotiated Rate	$735.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00

BIOCERAMIC NANOCRYSTALS 5CC

Facility

$11,250.00

Service Code	HCPCS C1763
Hospital Charge Code	270698051
Hospital Revenue Code	278
Min. Negotiated Rate	$1,687.50
Max. Negotiated Rate	$2,722.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50

BIOCERAMIC NANOCRYSTALS 5CC

Facility

$11,250.00

Service Code	HCPCS C1763
Hospital Charge Code	270698051
Hospital Revenue Code	278
Min. Negotiated Rate	$1,687.50
Max. Negotiated Rate	$5,625.00
Rate for Payer: Aetna Commercial	$3,375.00
Rate for Payer: Aetna Medicare Advantage	$3,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,868.75
Rate for Payer: Cigna Commercial	$5,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50

BIOCLEANSE PATELLAR TENDON PRE

Facility

$1,445.00

Hospital Charge Code	270679092
Hospital Revenue Code	278
Min. Negotiated Rate	$216.75
Max. Negotiated Rate	$722.50
Rate for Payer: Aetna Commercial	$433.50
Rate for Payer: Aetna Medicare Advantage	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$368.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$368.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$368.48
Rate for Payer: Cigna Commercial	$722.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.69
Rate for Payer: Qualcare PPO/HMO/WC	$216.75

BIOCLEANSE PATELLAR TENDON PRE

Facility

$1,445.00

Hospital Charge Code	270679092
Hospital Revenue Code	278
Min. Negotiated Rate	$216.75
Max. Negotiated Rate	$349.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.69
Rate for Payer: Qualcare PPO/HMO/WC	$216.75

BIOCOMPOSITE TENODESIS CREW

Facility

$2,250.00

Hospital Charge Code	270657714
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

BIOCOMPOSITE TENODESIS CREW

Facility

$2,250.00

Hospital Charge Code	270657714
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

BIO CORK SCREW

Facility

$411.00

Hospital Charge Code	270335682
Hospital Revenue Code	278
Min. Negotiated Rate	$61.65
Max. Negotiated Rate	$99.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.46
Rate for Payer: Qualcare PPO/HMO/WC	$61.65

BIO CORK SCREW

Facility

$411.00

Hospital Charge Code	270335682
Hospital Revenue Code	278
Min. Negotiated Rate	$61.65
Max. Negotiated Rate	$205.50
Rate for Payer: Aetna Commercial	$123.30
Rate for Payer: Aetna Medicare Advantage	$123.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.81
Rate for Payer: Cigna Commercial	$205.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.46
Rate for Payer: Qualcare PPO/HMO/WC	$61.65

BIO-CORKSCREW 3.7 X 18MM

Facility

$1,860.00

Hospital Charge Code	270666936
Hospital Revenue Code	278
Min. Negotiated Rate	$279.00
Max. Negotiated Rate	$930.00
Rate for Payer: Aetna Commercial	$558.00
Rate for Payer: Aetna Medicare Advantage	$558.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$474.30
Rate for Payer: Cigna Commercial	$930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: Qualcare PPO/HMO/WC	$279.00

BIO-CORKSCREW 3.7 X 18MM

Facility

$1,860.00

Hospital Charge Code	270666936
Hospital Revenue Code	278
Min. Negotiated Rate	$279.00
Max. Negotiated Rate	$450.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: Qualcare PPO/HMO/WC	$279.00

BIOCORK SCREW W/NEEDLE

Facility

$842.00

Hospital Charge Code	27038052
Hospital Revenue Code	278
Min. Negotiated Rate	$126.30
Max. Negotiated Rate	$421.00
Rate for Payer: Aetna Commercial	$252.60
Rate for Payer: Aetna Medicare Advantage	$252.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.71
Rate for Payer: Cigna Commercial	$421.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.76
Rate for Payer: Qualcare PPO/HMO/WC	$126.30

BIOCORK SCREW W/NEEDLE

Facility

$842.00

Hospital Charge Code	27038052
Hospital Revenue Code	278
Min. Negotiated Rate	$126.30
Max. Negotiated Rate	$203.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.76
Rate for Payer: Qualcare PPO/HMO/WC	$126.30

BIOCRYL INTERFERENCE SCREW SET

Facility

$500.00

Hospital Charge Code	270645771
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

BIOCRYL INTERFERENCE SCREW SET

Facility

$500.00

Hospital Charge Code	270645771
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

BIOCUFF IMPLANT 5.7x18 235718

Facility

$1,116.00

Hospital Charge Code	270620671
Hospital Revenue Code	278
Min. Negotiated Rate	$167.40
Max. Negotiated Rate	$558.00
Rate for Payer: Aetna Commercial	$334.80
Rate for Payer: Aetna Medicare Advantage	$334.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$284.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$284.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$284.58
Rate for Payer: Cigna Commercial	$558.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.07
Rate for Payer: Qualcare PPO/HMO/WC	$167.40

Know your out-of-pocket cost for care.

All Charges